Just below the shoulder blade (scapula), a pigmented patch typical of notalgia paresthetica. A close-up of hyperpigmented patch of notalgia paresthetica. The brown, flat area underneath the right shoulder blade is caused by continual rubbing and scratching.
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Notalgia Paraesthetica  Information for adults

Picture of Notalgia Paraesthetica: Just below the shoulder blade (scapula), a pigmented patch typical of notalgia paresthetica. Divider line
Just below the shoulder blade (scapula), a pigmented patch typical of notalgia paresthetica.
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Signs and Symptoms
The most common location for notalgia paresthetica is the upper back, especially between the shoulder blades. The area may be confined to only one side of the upper back, or it may occur in the middle of the upper back, over the spinal bones.

Notalgia paresthetica often occurs without any obvious changes to the skin. If skin changes do occur, there may be a well-defined patch of darker skin (hyperpigmentation) over the affected area.

Although periodic itching is the main symptom associated with notalgia paresthetica, some people notice pain, tingling, or a change in feeling (sensation) in the affected skin.
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Last Modified: 22 Dec 2008
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